Jennifer Blaze Laclair, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

346485 Issued in NY

Practice address

22734 Murrock Circle
Watertown, NY 13601

Phone

(315) 788-8701

Fax

(315) 804-6031

NPI assigned

Sep 27, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bhupinder Singh Bolla MD PLLC

  • Durable Medical Equipment & Medical Supplies
  • Watertown, NY
  • NPI 1669002697
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1104433820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24874 COUNTY ROUTE 16",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136373107",
            "telephone_number": "315-767-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22734 MURROCK CIRCLE",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "13601",
            "telephone_number": "315-788-8701",
            "fax_number": "315-804-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACLAIR",
        "first_name": "JENNIFER",
        "middle_name": "BLAZE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austen Labarge
• Carrie Anne Labarge, LCSW
• Martha Shirley Labarr, PMHNP
• Elise Labatore
• Jacquelyn Suzanne Laclair, LPN
• Cassandra Marie Ladd-Bashford, P.T.
• Daniel Ladouceur, NP
• Misty Dawn Laduc
• Elizabeth Marie Lafave, RPT
• Jolene B Lafrance, NP

• Family Nurse Practitioner in Watertown, NY
• Providers in Watertown, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.